Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trystan Chan

Individual provider Physical Therapist · NPI 1093418162

Trystan Chan is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2022, 4 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
4
Licensed in
MA, NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

25 Strathmore Rd
Great Neck, NY 11023-1035
Phone: (516) 500-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Governors Ave, Medford, MA 02155-1644 — (781) 391-5400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 050529-01 (NY)
Physical Therapist Taxonomy 225100000X · Licence 26677 (MA)

Record details

NPI number1093418162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 21, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Great Neck